Shelly Pavlu, DNP-APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

80372 Issued in KS

Practice address

3515 Broadway Ave
Great Bend, KS 67530-3633

Phone

(620) 792-2511

NPI assigned

Feb 25, 2020

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart of Kansas Family Health Care IncGroup PAC ID 4486565181, 17 clinicians

Ukhs Great Bend LLCGroup PAC ID 5597016378, shared by 6 NPIs, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pawnee Valley Community Hospital Hospital, Larned, KS, CCN 171345
• University of KS HLTH System Great Bend Campus Hospital, Great Bend, KS, CCN 170191
• Edwards County Medical Center Hospital, Kinsley, KS, CCN 171317

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20094/brand/1/csg/1/fhir/r4
• Direct secure messaging: shelly.pavlu.1@20094.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heart of Kansas Family Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Great Bend, KS
  • NPI 1184739443
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates of Kansas LLC

  • Multi-Specialty Clinic/Center
  • Wichita, KS
  • NPI 1780261701
  Medicare reassignment NPD
• Grisell Memorial Hosptial RHC

  • Federally Qualified Health Center (FQHC)
  • Ransom, KS
  • NPI 1306578679
  NPD
• Heart of Kansas Family Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Great Bend, KS
  • NPI 1154136612
  NPD
• County of Ness

  • Health Service Clinic/Center
  • Ness City, KS
  • NPI 1275745085
  NPD (past)
• County of Ness

  dba Ness County EMS

  • Ambulance
  • Ness City, KS
  • NPI 1376367268
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Edwards County Hospital and Healthcare Center

  dba Edwards County Hospital

  • Critical Access Hospital
  • Kinsley, KS
  • NPI 1851403869
  Care Compare affiliation
• Pawnee Valley Community Hospital, Inc.

  • Critical Access Hospital
  • Larned, KS
  • NPI 1568401206
  Care Compare affiliation
• Ukhs Great Bend, LLC

  dba The University of Kansas Health System Great Bend Campus

  • General Acute Care Hospital
  • Great Bend, KS
  • NPI 1548750417
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1295369536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 345",
            "city": "NESS CITY",
            "state": "KS",
            "postal_code": "675600345",
            "telephone_number": "785-798-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BROADWAY AVE",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303633",
            "telephone_number": "620-792-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLU",
        "first_name": "SHELLY",
        "credential": "DNP-APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2021-10-06",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "80372",
            "primary": true
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "KS",
            "license": "13-84474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain, Spine & Rehab, P.a.
• Pain, Spine & Rehab.,a.S.C.,P.a.
• Marley Palmer
• Reagan Leann Parr
• Katie Lynn Patterson, MS, CCC-SLP
• Pamela June Perry, COTA
• Le Ann M Petersilie, LSCSW
• Gordon F Pfannenstiel, LPC
• Vivian J Pfister, LSCSW
• Jonathan Pike, M.D.

• Nurse Practitioner in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.